Long-term outcomes of patients with common bile duct injury following laparoscopic cholecystectomy

Surgical Endoscopy
Caitlin HalbertDana A Telem

Abstract

Common bile duct (CBD) injury is a serious and dreaded complication of cholecystectomy. A paucity of data assessing long-term outcomes exists. This study aimed to determine long-term mortality and liver transplantation rates following CBD injury requiring operative intervention. Patients were identified via the New York State (NYS) Planning and Research Cooperative System longitudinal administrative database which captures patient-level data from every inpatient and outpatient hospital discharge in NYS. In total, 125 patients with CBD injuries were identified following 156,958 laparoscopic cholecystectomies for cholelithiasis performed in NYS from 2005 to 2010. Patients were then tracked by unique identifier to obtain rate of liver transplantation. Follow-up ranged from 4 to 9 years from surgery. There were 125 patients with CBD injuries detected. No mortalities occurred within 30 days. All-cause mortality was 20.8 % (n = 26) with mean time to death 1.64 ± 1.08 years. One patient who underwent hepaticoenterostomy required a liver transplant 4.3 years after surgery. Significant factors predictive of all-cause mortality included: age >61, Medicare insurance, male gender, White race, diabetes, hypertension and pulmonary complicati...Continue Reading

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Citations

Jun 26, 2018·Journal of Surgical Oncology·Labrinus van ManenJan Sven David Mieog
Jul 10, 2019·Surgical Endoscopy·Stephen O'BrienRobert C G Martin
Jun 3, 2020·The American Journal of Gastroenterology·Dina S Ahmad, Ashley Faulx
Oct 13, 2019·Surgical Endoscopy·Tetsuya NakazatoMichael Ujiki
Mar 30, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·B Fernando SantosMichael J Pucci
Nov 8, 2018·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Dimitrios SchizasEvangelos Felekouras
May 28, 2019·Annals of Gastroenterological Surgery·Itaru Endo
Sep 17, 2017·Surgical Endoscopy·Meredith BarrettDana A Telem
Sep 12, 2020·World Journal of Clinical Cases·Zhe FanYe-Wei Zhang
Aug 3, 2016·World Journal of Surgery·Deepak HariharanDileep N Lobo
Aug 22, 2017·Bioscience Trends·Xiaobin Feng, Jiahong Dong
Nov 17, 2019·Radiologic Clinics of North America·Ryan B O'Malley, Jonathan W Revels
Mar 14, 2019·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·James M Halle-SmithKeith J Roberts
Jun 12, 2021·World Journal of Emergency Surgery : WJES·Nicola de'AngelisDaniele Sommacale
Nov 22, 2020·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Brittany CalkinsChet W Hammill
May 24, 2018··Alexander L. VahrmeijerLabrinus van Manen

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